Changing the Surgical Team for Wound Closure and Surgical Site Infection

Insel Gruppe AG, University Hospital Bern

Status: Completed

Conditions: Fascial Hernia; Morality; Incidence of Surgical Site Infection

Treatments: Procedure: Changing the surgical team for wound closure

Study type: Observational

Funder types: Other

Identifiers

NCT04503642

CLOT-T trial

Details and patient eligibility

About

Surgical site infection is a frequent complication after abdominal surgery. The wound closure is done at the end of the procedure when the attention of the entire team may be affected because of tiredness and reduced attention of the surgical team.

With this study, the investigators aim to test if an exchange of the surgical team by a specialised wound closure team may reduce the impact of surgical site infection.

Enrollment: 1,160 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• General Consent as documented by signature
• Patients undergoing elective or emergency abdominal surgery from Monday to Friday with wound closure from 8:00 until 17:30 and duration of operation.
• Age over 18 years

Exclusion criteria

• Patients < 18 years of age
• Patients with preexisting SSI

Trial design

1,160 participants in 2 patient groups

Intervention Group

Description:

The intervention consisted in the closure of the abdominal wall and skin by a second surgical team which included a board-certified surgeon and a resident.

Treatment:

Procedure: Changing the surgical team for wound closure

Baseline Group

Description:

During the baseline period, closure of the abdominal wall was performed by the main surgical team, the same team that performed the whole surgery.